Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $602.56	Professional		$302.00	$354.81	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,148.15	Facility		$691.83	$691.83	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $776.25	Professional		$645.65	$645.65	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,584.89 / $3,388.44	Facility		$416.87	$1,584.89	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $977.24 / $1,318.26	Professional		$309.03	$977.24	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $851.14	Facility		$338.84	$562.34	$851.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,023.29	Professional		$616.60	$831.76	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $676.08 / $3,162.28	Facility		$338.84	$676.08	$3,162.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $758.58	Professional		$302.00	$363.08	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $316.23	Professional		$54.95	$70.79	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,905.46	Professional		$691.83	$1,047.13	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,380.38 / $3,162.28	Facility		$416.87	$1,380.38	$3,162.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $616.60 / $3,388.44	Professional		$309.03	$616.60	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $354.81 / $977.24	Facility		$281.84	$354.81	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $575.44	Professional		$234.42	$338.84	$575.44